Orris
attachment
attachment

Commons cases at opd at this hospital and make prescriptions also. I want to learn prescriptions writing

analyse_media
Reading File
This is Ved Multispeciality Hospital in Gujarat, India. Based on the departments visible - Orthopedics, Pediatrics, Physician & Surgical, NICU/ICU, and Gynecology & Sonography - here are the most common OPD cases seen at such a multispeciality hospital, each with a realistic sample prescription.
Searching sources...

Common OPD Cases at Ved Multispeciality Hospital - with Sample Prescriptions

How to Read a Prescription

Every prescription must include:
  • Patient details: Name, Age, Sex, Date
  • Chief complaint / Diagnosis
  • Rx (from Latin recipe = "take this")
  • Drug name | Dose | Route | Frequency | Duration
  • SIG: Special instructions
  • Doctor's name, registration number, signature

DEPARTMENT 1: PHYSICIAN (General Medicine)

Case 1: Upper Respiratory Tract Infection (URTI) / Common Cold

History: 25-year-old male, 3 days sore throat, runny nose, mild fever (100°F), no cough. Diagnosis: Acute URTI (viral)
╔══════════════════════════════════════════════════════════╗
║          VED MULTISPECIALITY HOSPITAL, GUJARAT           ║
║                  PHYSICIAN OPD                           ║
╚══════════════════════════════════════════════════════════╝

Patient: Ramesh Patel          Age: 25 yrs   Sex: M
Date: 03/08/2026               Weight: 68 kg

Diagnosis: Acute Viral URTI

Rx
──────────────────────────────────────────────────────────
1. Tab. Paracetamol 500 mg       — 1 tab TDS × 3 days
   (If fever >99°F or headache)

2. Tab. Cetirizine 10 mg         — 1 tab OD at night × 5 days
   (For nasal congestion/runny nose)

3. Syp. Betadine Gargle          — Gargle with warm water BD × 5 days

4. Tab. Vitamin C 500 mg         — 1 tab OD × 7 days

Advice:
• Steam inhalation twice daily
• Plenty of warm fluids, rest
• Avoid cold foods/drinks
• Return if fever persists >3 days or breathing difficulty

                              Dr. _______________
                              MBBS, MD (Medicine)
                              Reg No: GUJ/XXXX
╚══════════════════════════════════════════════════════════╝
Key learning: Viral URTI does NOT need antibiotics. Paracetamol for symptomatic relief, antihistamine for nasal symptoms.

Case 2: Hypertension (Follow-up)

History: 52-year-old male, known hypertensive, BP today = 150/96 mmHg, no chest pain, no breathlessness. Diagnosis: Essential Hypertension (Stage 1-2), on medication.
╔══════════════════════════════════════════════════════════╗
║          VED MULTISPECIALITY HOSPITAL, GUJARAT           ║
║                  PHYSICIAN OPD                           ║
╚══════════════════════════════════════════════════════════╝

Patient: Mahesh Shah          Age: 52 yrs   Sex: M
Date: 03/08/2026              BP: 150/96   Weight: 82 kg

Diagnosis: Essential Hypertension (follow-up)

Rx
──────────────────────────────────────────────────────────
1. Tab. Amlodipine 5 mg          — 1 tab OD (morning) × 30 days
   (Calcium channel blocker)

2. Tab. Telmisartan 40 mg        — 1 tab OD (morning) × 30 days
   (ARB — avoid if pregnant)

3. Tab. Aspirin 75 mg            — 1 tab OD after meals × 30 days
   (If cardiovascular risk factor present)

Investigations Advised:
• FBS, PPBS (Fasting/Post-prandial blood sugar)
• Serum creatinine, urea
• ECG
• Lipid profile

Advice:
• Salt restriction (<5g NaCl/day)
• Daily walking 30 minutes
• Weight reduction target
• Home BP monitoring — record and bring chart
• Follow up after 1 month

                              Dr. _______________
                              MBBS, MD (Medicine)
╚══════════════════════════════════════════════════════════╝

Case 3: Type 2 Diabetes Mellitus (New case)

History: 46-year-old female, increased thirst, frequent urination, FBS = 180 mg/dL, HbA1c = 8.2%.
╔══════════════════════════════════════════════════════════╗
║          VED MULTISPECIALITY HOSPITAL, GUJARAT           ║
║                  PHYSICIAN OPD                           ║
╚══════════════════════════════════════════════════════════╝

Patient: Savita Mehta         Age: 46 yrs   Sex: F
Date: 03/08/2026              FBS: 180 mg/dL   HbA1c: 8.2%

Diagnosis: Type 2 Diabetes Mellitus (newly diagnosed)

Rx
──────────────────────────────────────────────────────────
1. Tab. Metformin 500 mg         — 1 tab BD after meals × 30 days
   (Titrate to 1000 mg BD after 2 weeks if tolerated)

2. Tab. Glimepiride 1 mg         — 1 tab OD before breakfast × 30 days

3. Cap. Methylcobalamin 500 mcg  — 1 cap OD × 30 days
   (Vitamin B12 — given with Metformin to prevent deficiency)

Investigations Advised:
• HbA1c (repeat at 3 months)
• Urine microalbumin/creatinine ratio
• Lipid profile
• Serum creatinine
• Fundus examination (ophthalmology referral)

Advice:
• Low-carb diet, avoid sugar, rice, maida
• 30 minutes walking daily
• Do NOT skip meals (risk of hypoglycemia)
• Monitor blood sugar at home if possible
• Follow up after 1 month

                              Dr. _______________
                              MBBS, MD (Medicine)
╚══════════════════════════════════════════════════════════╝

DEPARTMENT 2: PEDIATRICS (Balrog Vibhag)

Case 4: Acute Gastroenteritis in Child

History: 4-year-old boy, loose watery stools x 5 episodes/day, vomiting x 3, no blood in stool, mild fever. Weight = 16 kg.
╔══════════════════════════════════════════════════════════╗
║          VED MULTISPECIALITY HOSPITAL, GUJARAT           ║
║               PEDIATRIC OPD                              ║
╚══════════════════════════════════════════════════════════╝

Patient: Arjun Patel          Age: 4 yrs    Sex: M
Date: 03/08/2026              Weight: 16 kg

Diagnosis: Acute Gastroenteritis (viral, no dehydration)

Rx
──────────────────────────────────────────────────────────
1. ORS (Oral Rehydration Salts) — 75 mL/kg over 4 hours
   → Approx 200 mL after each loose stool
   (Give slowly with spoon)

2. Syp. Zinc 20 mg/5 mL         — 1 tsp OD × 14 days
   (Reduces severity and duration of diarrhea)

3. Syp. Domperidone 5 mg/5 mL   — 1 tsp TDS before meals × 3 days
   (For vomiting; dose = 0.3 mg/kg/dose)

4. Syp. Paracetamol 125 mg/5 mL — 1.5 tsp TDS if temp >38°C × 3 days
   (Dose = 15 mg/kg/dose; 16 kg × 15 = 240 mg ~ 240/125 × 5 = ~10 mL)

NOTE: Antibiotics NOT required for viral gastroenteritis.

Advice:
• Do NOT stop breastfeeding/feeds
• Continue normal diet (BRAT: Banana, Rice, Apple, Toast)
• Signs to return IMMEDIATELY: sunken eyes, no urine for 6 hrs,
  blood in stool, seizures, lethargy
• Follow up in 24-48 hours

                              Dr. _______________
                              MBBS, MD (Pediatrics)
╚══════════════════════════════════════════════════════════╝
Pediatric prescription key rule: Always calculate dose by weight (mg/kg). Never use adult doses.

Case 5: Febrile URTI in Child (with antibiotic)

History: 6-year-old girl, high fever (103°F) x 3 days, ear pain, congested, tympanic membrane red on exam. Weight = 20 kg. Diagnosis: Acute Otitis Media
╔══════════════════════════════════════════════════════════╗
║          VED MULTISPECIALITY HOSPITAL, GUJARAT           ║
║               PEDIATRIC OPD                              ║
╚══════════════════════════════════════════════════════════╝

Patient: Priya Desai          Age: 6 yrs    Sex: F
Date: 03/08/2026              Weight: 20 kg   Temp: 103°F

Diagnosis: Acute Otitis Media (bacterial)

Rx
──────────────────────────────────────────────────────────
1. Syp. Amoxicillin 250 mg/5 mL — 4 tsp TDS × 7 days
   (Dose: 40 mg/kg/day; 40×20=800 mg/day ÷ 3 = ~267 mg/dose)

2. Syp. Ibuprofen 100 mg/5 mL   — 2 tsp TDS after meals × 5 days
   (Dose: 10 mg/kg/dose; analgesic + antipyretic for ear pain)

3. Syp. Cetirizine 5 mg/5 mL    — 2 tsp OD at night × 5 days
   (Antihistamine for nasal congestion)

4. Nasal drops Xylometazoline 0.05% — 2 drops each nostril BD × 5 days
   (Decongestant — helps drain middle ear)

Advice:
• Warm compress over ear for pain relief
• No swimming/water in ears
• Complete the full antibiotic course
• Return if no improvement in 48-72 hours

                              Dr. _______________
                              MBBS, MD (Pediatrics)
╚══════════════════════════════════════════════════════════╝

DEPARTMENT 3: ORTHOPEDICS

Case 6: Acute Low Back Pain (Lumbago)

History: 38-year-old male, sudden low back pain after lifting heavy object, no radiation to legs, no bladder/bowel changes. X-ray normal.
╔══════════════════════════════════════════════════════════╗
║          VED MULTISPECIALITY HOSPITAL, GUJARAT           ║
║               ORTHOPEDIC OPD                             ║
╚══════════════════════════════════════════════════════════╝

Patient: Dinesh Kumar         Age: 38 yrs   Sex: M
Date: 03/08/2026

Diagnosis: Acute Mechanical Low Back Pain (muscle strain)

Rx
──────────────────────────────────────────────────────────
1. Tab. Diclofenac + Paracetamol (50/500 mg)
                                — 1 tab BD after meals × 5 days
   (NSAID + Analgesic combination)

2. Tab. Thiocolchicoside 4 mg   — 1 tab BD × 5 days
   (Muscle relaxant — reduces spasm)

3. Tab. Pantoprazole 40 mg      — 1 tab OD before breakfast × 5 days
   (Gastric protection while on NSAIDs)

4. Diclofenac gel 1%            — Apply locally over painful area TDS × 7 days
   (Topical NSAID)

Advice:
• Rest for 2-3 days, avoid heavy lifting
• Apply warm compress locally
• Lumbar support/belt while standing/walking
• Physiotherapy after acute pain subsides
• Return if pain radiates to legs, numbness, or weakness

Investigations (if no improvement in 2 weeks):
• MRI Lumbosacral spine

                              Dr. _______________
                              MBBS, MS (Ortho)
╚══════════════════════════════════════════════════════════╝
Key rule: Always add PPI (proton pump inhibitor) when prescribing NSAIDs to protect the stomach.

Case 7: Osteoarthritis of Knee

History: 62-year-old female, bilateral knee pain, morning stiffness < 30 minutes, crepitus on movement, X-ray shows joint space narrowing.
╔══════════════════════════════════════════════════════════╗
║          VED MULTISPECIALITY HOSPITAL, GUJARAT           ║
║               ORTHOPEDIC OPD                             ║
╚══════════════════════════════════════════════════════════╝

Patient: Kantaben Joshi        Age: 62 yrs   Sex: F
Date: 03/08/2026

Diagnosis: Bilateral Knee Osteoarthritis (Grade II)

Rx
──────────────────────────────────────────────────────────
1. Tab. Etoricoxib 60 mg         — 1 tab OD after meals × 10 days
   (COX-2 inhibitor; better GI safety than non-selective NSAIDs)

2. Tab. Pantoprazole 40 mg       — 1 tab OD before breakfast × 10 days

3. Tab. Glucosamine + Chondroitin (750/600 mg)
                                 — 1 tab BD × 3 months
   (Cartilage support; long-term use)

4. Tab. Calcium + Vitamin D3 (500 mg/250 IU)
                                 — 1 tab BD × 3 months

5. Diclofenac gel 1%             — Apply to knees TDS

Physiotherapy: Refer for quadriceps strengthening exercises

Advice:
• Weight reduction (reduces load on knees)
• Avoid squatting, climbing stairs excessively
• Swimming/cycling preferred over walking on hard surfaces
• Follow up at 1 month

                              Dr. _______________
                              MBBS, MS (Ortho)
╚══════════════════════════════════════════════════════════╝

DEPARTMENT 4: GYNECOLOGY (Gaynak Vibhag)

Case 8: Dysmenorrhea (Painful Periods)

History: 22-year-old female, severe crampy lower abdominal pain during 1st-2nd day of menses, regular cycles, no discharge, USG pelvis normal. Diagnosis: Primary Dysmenorrhea
╔══════════════════════════════════════════════════════════╗
║          VED MULTISPECIALITY HOSPITAL, GUJARAT           ║
║               GYNECOLOGY OPD                             ║
╚══════════════════════════════════════════════════════════╝

Patient: Neha Patel            Age: 22 yrs   Sex: F
Date: 03/08/2026

Diagnosis: Primary Dysmenorrhea

Rx
──────────────────────────────────────────────────────────
1. Tab. Mefenamic acid 500 mg    — 1 tab TDS × 3-5 days
   (Start 1 day before expected menses; COX inhibitor)

2. Tab. Drotaverine 40 mg        — 1 tab TDS × 3 days
   (Antispasmodic — relaxes uterine smooth muscle)

3. Tab. Ferrous fumarate + Folic acid — 1 tab OD × 30 days
   (Iron supplementation if menorrhagia present)

Advice:
• Warm compress over lower abdomen
• Light exercise, yoga (especially child's pose)
• Avoid caffeine during periods
• If pain is severe/not responding, pelvic USG + follow up

                              Dr. _______________
                              MBBS, MS (Gynaecology)
╚══════════════════════════════════════════════════════════╝

DEPARTMENT 5: NICU/Pediatric - Neonatal Case

Case 9: Neonatal Jaundice (for parent counseling, non-prescription case)

For educational purposes - neonatal jaundice management is done in NICU, not via outpatient prescription. Treatment is phototherapy, not drugs. This is important to know.

Prescription Writing - Key Rules to Remember

RuleDetails
LegibilityWrite clearly; illegible prescriptions are dangerous
AbbreviationsOD = once daily, BD = twice daily, TDS = three times daily, QID = four times daily, HS = at bedtime, AC = before meals, PC = after meals
Dose calculation in childrenAlways calculate per kg body weight
PPI with NSAIDsMandatory to protect gastric mucosa
AntibioticsOnly prescribe with clear bacterial indication; always mention duration
Controlled drugsRequire special prescription pad (Schedule H1/X in India)
Generic namesPreferred over brand names (Government of India mandate)
Signature + Reg. No.Mandatory - prescription is a legal document
DateAlways write date - prevents misuse
DiagnosisWriting diagnosis helps pharmacist and patient understand
Disclaimer: These are educational sample prescriptions for learning purposes only. All real prescriptions must be written by a licensed medical doctor after examining the patient. Drug doses should always be verified against current formularies.
attachment
attachment

45/F having RLQ pain since 1 week

analyse_media
Finding Sources
Finding Sources
Finding Sources
Reading File
Reading File
Excellent - I now have all the information needed for a complete clinical analysis. Here is the full case breakdown:

Clinical Case: 45/F with Right Lower Quadrant (RLQ) Pain - 1 Week

USG Abdomen Report - Key Findings (Dr. Naresh Hundiya Imaging Centre, Nadiad)

Patient: Sumitraben Gohel | Date: 29-Mar-2025 | Age: 45 years, Female
OrganFinding
LiverIncreased echogenicity (fatty liver)
GallbladderNormal, no stones
KidneysBilateral normal (10.5 cm)
UterusNormal size, retroverted, cavity empty, endometrium normal
Right OvaryThin-walled simple cyst - 2.1 cm × 1.6 cm, no internal echoes, no septations
Left OvaryNormal
AppendixOperated (previously removed - appendix is NOT the cause)
BowelFluid-filled small bowel loops noted, no terminal ileal thickening
PeritoneumNo free fluid, no lymphadenopathy
Radiologist's Impression: Simple Right Ovarian Cyst + Fatty Liver

Differential Diagnosis - Why RLQ Pain in This Patient?

Since the appendix has already been operated, appendicitis is ruled out. The differentials narrow significantly:
#DiagnosisEvidence In This Case
1Simple Right Ovarian Cyst (MOST LIKELY)USG confirmed 2.1 × 1.6 cm thin-walled cyst, no internal echoes
2Ovarian TorsionLess likely - cyst is small (2.1 cm), but cannot fully exclude
3Corpus Luteum Cyst painPossible - she is 45, perimenopausal
4Mesenteric/bowel causeFluid-filled bowel loops noted - mild IBS/gastritis possible
5MusculoskeletalCannot exclude on USG alone
6EndometriomaLess likely - cyst is simple/thin-walled (not ground-glass)
"Follicular cysts typically resolve in 4 to 8 weeks with expectant management. Corpus luteum cysts can cause pain, presumably because of bleeding into the enclosed ovarian cyst cavity." - Berek & Novak's Gynecology, p.452

Important Clinical Points

  • At 45 years, she may be perimenopausal - functional cysts are still common
  • A 2.1 cm simple cyst with no internal echoes/septations has an extremely low malignancy risk
  • Appendix is already removed - so no appendicitis risk
  • Fatty liver found incidentally - needs dietary/lifestyle counseling

Sample Prescription

╔══════════════════════════════════════════════════════════════╗
║             VED MULTISPECIALITY HOSPITAL, GUJARAT            ║
║             GYNECOLOGY / PHYSICIAN OPD                       ║
╚══════════════════════════════════════════════════════════════╝

Patient: Sumitraben Gohel        Age: 45 yrs    Sex: F
Date:  03/08/2026                Weight: ___kg

Chief Complaint: RLQ pain × 1 week
USG Impression: Simple Right Ovarian Cyst 2.1×1.6 cm + Fatty Liver
                (Appendix - previously operated)

Diagnosis:
  1. Simple Right Ovarian Cyst (functional) - causing RLQ pain
  2. Non-Alcoholic Fatty Liver Disease (NAFLD) - incidental

Rx
──────────────────────────────────────────────────────────────
For Pain / Ovarian Cyst:

1. Tab. Mefenamic Acid 500 mg     — 1 tab TDS after meals × 5 days
   (Analgesic/anti-inflammatory; relieves ovarian cyst pain)

2. Tab. Drotaverine 40 mg         — 1 tab TDS × 5 days
   (Antispasmodic - smooth muscle relaxant for colic pain)

3. Tab. Pantoprazole 40 mg        — 1 tab OD before breakfast × 7 days
   (Gastric protection with NSAIDs)

For Fatty Liver:

4. Cap. Silymarin 140 mg          — 1 cap BD after meals × 1 month
   (Hepatoprotective - for NAFLD/fatty liver)

5. Tab. Vitamin E 400 IU          — 1 tab OD after dinner × 1 month
   (Antioxidant; evidence-based in NAFLD)

──────────────────────────────────────────────────────────────
Investigations Advised:
  • CA-125 (tumour marker - to exclude ovarian malignancy, 
    especially given age 45)
  • Repeat USG Pelvis after 6-8 weeks 
    (to confirm cyst resolution)
  • LFT (Liver Function Tests) - for NAFLD baseline
  • Fasting lipid profile, FBS (metabolic workup for fatty liver)
  • Pelvic examination (bimanual)

──────────────────────────────────────────────────────────────
Advice:
  • Avoid strenuous exercise/heavy lifting until cyst resolves
  • If pain becomes SUDDEN & SEVERE → come to Emergency 
    immediately (rule out torsion/rupture)
  • Low-fat, low-sugar diet for fatty liver
  • 30 min walking daily
  • Follow up after 6-8 weeks with repeat USG

Referral: Gynaecology OPD (for cyst follow-up and CA-125 review)

                                Dr. _______________
                                MBBS, MD
                                Reg. No: GUJ/XXXX
╚══════════════════════════════════════════════════════════════╝

Red Flag Signs - Tell Patient to Return IMMEDIATELY If:

Red FlagConcern
Sudden severe pelvic painCyst rupture or ovarian torsion
Fever + painTubo-ovarian abscess / PID
Vomiting + rigid abdomenTorsion (surgical emergency)
Vaginal bleedingRuptured corpus luteum, ectopic

Learning Points from This Case

  1. Always read the USG carefully - appendix was already operated, which completely changes the differential for RLQ pain
  2. Simple cysts <3 cm in premenopausal/perimenopausal women are almost always functional and resolve spontaneously in 4-8 weeks
  3. Conservative management (NSAIDs + repeat USG) is appropriate for a 2.1 cm simple cyst - Sabiston Surgery recommends "serial observation and management of symptoms" for functional ovarian cysts
  4. CA-125 is important at age 45 to exclude early ovarian malignancy even though USG features are benign
  5. Incidental findings matter - fatty liver found here; needs its own counseling and workup
  6. Retroverted uterus is a normal variant - not a pathological finding
"Conservative management with serial observation and management of symptoms of a patient with a functional ovarian cyst is advised. Surgical intervention, generally using a laparoscopic approach, is indicated for cysts that persist or enlarge." - Sabiston Textbook of Surgery, 21st Edition
attachment
attachment

45/F having RLQ pain since 1 week

This is the same case as the previous turn — I have already fully analyzed this USG report. Here is the complete summary for reference:

Case Recap: 45/F - RLQ Pain × 1 Week | Sumitraben Gohel

USG Findings (Dr. Naresh Hundiya Imaging Centre, Nadiad - 29 Mar 2025)

OrganFinding
LiverIncreased echogenicity = Fatty Liver
GallbladderNormal, no stones
Both KidneysNormal (10.5 cm bilateral)
UterusNormal, retroverted (normal variant)
Right OvarySimple cyst 2.1 × 1.6 cm - thin wall, no echoes, no septations
Left OvaryNormal
AppendixAlready operated - rules out appendicitis
PeritoneumNo free fluid, no lymphadenopathy
Impression: Simple Right Ovarian Cyst + Fatty Liver

Diagnosis & Differentials

PriorityDiagnosisReason
✅ Most likelySimple Right Ovarian Cyst (functional)USG confirmed, RLQ location
ConsiderCorpus luteum cyst painAge 45, perimenopausal
ExcludeOvarian torsionCyst small but possible - watch for red flags
IncidentalNAFLD (Fatty Liver)Found on USG
Ruled outAppendicitisAppendix already removed

Prescription

╔═══════════════════════════════════════════════════════════════╗
║           VED MULTISPECIALITY HOSPITAL, GUJARAT               ║
║           GYNECOLOGY / PHYSICIAN OPD                          ║
╚═══════════════════════════════════════════════════════════════╝

Patient: Sumitraben Gohel        Age: 45 yrs    Sex: F
Date: 03/08/2026

Diagnosis:
  1. Simple Right Ovarian Cyst (2.1×1.6 cm) - RLQ pain
  2. NAFLD (Fatty Liver) - incidental finding

Rx
───────────────────────────────────────────────────────────────
FOR OVARIAN CYST / PAIN:

1. Tab. Mefenamic Acid 500 mg     — 1 tab TDS after meals × 5 days

2. Tab. Drotaverine 40 mg         — 1 tab TDS × 5 days
   (Smooth muscle antispasmodic)

3. Tab. Pantoprazole 40 mg        — 1 tab OD before breakfast × 7 days
   (Gastric protection with NSAIDs)

FOR FATTY LIVER (NAFLD):

4. Cap. Silymarin 140 mg          — 1 cap BD after meals × 1 month

5. Tab. Vitamin E 400 IU          — 1 tab OD after dinner × 1 month

───────────────────────────────────────────────────────────────
Investigations:
  • CA-125 (rule out ovarian malignancy - age 45)
  • Repeat USG Pelvis after 6-8 weeks (confirm cyst resolution)
  • LFT, Fasting lipid profile, FBS (NAFLD workup)
  • Pelvic bimanual examination

Advice:
  • Avoid heavy lifting and strenuous activity
  • EMERGENCY if: sudden severe pain, vomiting, rigid abdomen
    → rule out cyst rupture / ovarian torsion
  • Low-fat, low-sugar diet for fatty liver
  • 30 min walking daily

Follow up: 6-8 weeks with repeat USG + CA-125 report

                               Dr. _______________
                               MBBS, MS (Gynaecology)
                               Reg. No: GUJ/XXXX
╚═══════════════════════════════════════════════════════════════╝

Key Teaching Points

  1. Appendix operated - always note surgical history; completely eliminates appendicitis from the differential
  2. Simple cysts <3 cm at reproductive/perimenopausal age are almost always functional - resolve in 4-8 weeks with expectant management
  3. CA-125 is mandatory at age 45 even for a "simple" cyst - age is a risk factor for ovarian malignancy
  4. Retroverted uterus - a normal anatomical variant, NOT a disease
  5. Two diagnoses in one USG - RLQ pain (cyst) + incidental fatty liver - both need addressing
  6. Red flag: if she comes back with sudden severe pain - think torsion or rupture - send to surgical/gynae emergency
This is a shared conversation. Sign in to Orris to start your own chat.